Federal Policy
MACPAC Comments on Proposed Rule for Interoperability Standards and Drug Prior Authorization
The Medicaid and CHIP Payment and Access Commission submitted comments to HHS Secretary Robert F. Kennedy, Jr. on proposed rulemaking addressing interoperability standards and prior authorization requirements for prescription drugs. The proposed rule would implement new interoperability standards for payers, including state Medicaid programs and managed care plans. MACPAC's letter provides the Commission's assessment of the rule's provisions and their potential impact on Medicaid program operations, drug access, and administrative burden for states and plans.
Why it mattersThis represents formal stakeholder input on federal rulemaking that would establish new technical and operational requirements for how Medicaid programs and MCOs handle drug prior authorization and exchange health information electronically.